| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
27,122 |
23,811 |
$8.85M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16,330 |
15,102 |
$6.63M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,239 |
3,079 |
$642K |
| A0425 |
Ground mileage, per statute mile |
21,745 |
18,805 |
$502K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
1,763 |
1,708 |
$285K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
455 |
446 |
$157K |
| A0998 |
Ambulance response and treatment, no transport |
1,263 |
1,210 |
$133K |
| A0433 |
Advanced life support, level 2 (als 2) |
117 |
116 |
$44K |
| A0130 |
Non-emergency transportation: wheelchair van |
968 |
930 |
$23K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
12,753 |
11,079 |
$1K |